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In the State of Connecticut, the Department of Motor Vehicles offers a lifeline to those whose driving privileges might be hampered, yet who rely heavily on personal transportation to maintain their employment. Through the Application for Special Permit to Operate a Motor Vehicle to and From Work, commonly referred to as form A-62, individuals facing driving license suspensions can seek permission to drive under strictly controlled conditions. As of the latest revision in April 2010, applicants are guided through a straightforward process, albeit with critical stipulations, emphasizing the permit's specific nature. A non-refundable fee is required alongside the application, underscoring the financial commitment applicants must undertake. Crucially, the form demands detailed personal, employment, and schedule information to assess the applicant's eligibility thoroughly. The stringent criteria for application underscore the state's commitment to road safety while providing a structured pathway for individuals striving to retain their livelihood amidst challenging circumstances. With safeguards against misuse, such as penalties for unauthorized operation or falsification of information, form A-62 represents a delicate balance between enforcement of driving laws and the economic necessity of commuting for work.

Connecticut A 62 Sample

STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
DRIVER SERVICES DIVISION
60 STATE STREET, WETHERSFIELD, CT 06161-2530
TELEPHONE: (860) 263-5720 On The Web At ct.gov/dmv

APPLICATION FOR SPECIAL PERMIT TO

OPERATE A MOTOR VEHICLE TO AND FROM WORK

A-62 REV. 4-2010

INSTRUCTIONS:

1. Please print or type.

2. Multiple employment requires separate applications.

3. A $100.00 non-refundable application fee in the form of a check or money order payable to DMV must accompany each request for a permit.

Operation of motor vehicles requiring a CDL or used for Public Passenger Transportation is PROHIBITED under the Special Permit Program

YOUR OFFICIAL DRIVING RECORD WILL BE REVIEWED AS PART OF THIS APPLICATION.

NAME OF APPLICANT (Last, First, Middle)

DATE OF BIRTH

OPERATOR LICENSE NUMBER/STATE

SEX

M

F

MAILING ADDRESS

(Number and Street)

(City or Town)

(State)

(Zip Code)

 

 

 

 

 

RESIDENCE ADDRESS (If different)

(Number and Street)

(City or Town)

(State)

(Zip Code)

NAME OF EMPLOYER (If self-employed, include business name and legal proof of self-employment)

ADDRESS OF EMPLOYER

(Number and Street)

(City or Town)

(State)

(Zip Code)

OCCUPATION

HOME TELEPHONE NUMBER

( )

DAYS AND HOURS OF EMPLOYMENT (Specify A.M. or P.M.)

TO BE ISSUED A WORK PERMIT, YOUR SCHEDULE MUST BE CLEARLY IDENTIFIED, AND

MON.

TUE.

THU.

FRI.

SAT.

MAY NOT EXCEED A CONTINUOUS 12-HOUR PERIOD PER DAY.

IF YOU HAVE MORE THAN ONE PLACE OF

EMPLOYMENT, EACH EMPLOYER MUST

WED.SUN.

COMPLETE A SEPARATE APPLICATION.

What is the distance and the commuting time from your residence to your place of employment?

Is public transportation available

 

 

 

from your residence to your

YES

NO

 

place of employment?

 

 

 

What significant hardship(s) will you suffer without a Special Operator's Permit?

 

 

What efforts have you made to obtain other transportation?

INABILITY TO CONFIRM YOUR EMPLOYMENT MAY RESULT IN DENIAL OF YOUR SPECIAL OPERATOR'S PERMIT.

PRINTED NAME OF SUPERVISOR

SIGNATURE OF SUPERVISOR

X

PRINTED JOB TITLE OF SUPERVISOR

WORK TELEPHONE

( )

NOTICE:

OATH:

Your operator's license is under suspension. If you operate any vehicle outside of the authorized hours, you may be subject to arrest. If you operate a motor vehicle for a purpose not authorized by law, a police officer may make a report to the Commissioner of Motor Vehicles and you will be subject to a civil penalty of up to $500. If your operator's license is suspended for another reason while you are in possession of this permit, the permit is revoked, and if you thereafter operate a motor vehicle you will be subject to double the penalties imposed by law. If you alter or make improper use of the permit, you will be subject to criminal penalties.

I swear or affirm under penalty of false statement in accordance with Connecticut General Statute 53a-157, and subject to penalties for perjury for a deliberate false statement, that the above information and any attachment hereto is true and correct.

PRINTED NAME OF APPLICANT

SIGNATURE OF APPLICANT

DATE SIGNED

X

DMV USE ONLY

PERMIT:

APPROVED

DENIED

DATE PERMIT ISSUED

(If Approved)

PERMIT VALID UNTIL (If Approved)

REASON FOR DENIAL

DRIVING HISTORY

NO SIGNIFICANT HARDSHIP

INELIGIBLE

OTHER (Provide Details)

AUTHORIZED SIGNATURE (DMV)

X

PRINTED NAME

DATE SIGNED

Document Features

Fact Detail
Form Name Application for Special Permit to Operate a Motor Vehicle to and From Work
Form Number A-62
Revision Date April 2010
Application Fee $100.00 non-refundable
Payment Method Check or money order payable to DMV
Work Permit Parking Limits usage to a continuous 12-hour period per day
Restrictions Does not allow operation of vehicles requiring a CDM or for Public Passenger Transportation
Eligibility Requirement Official driving record review
Legal Consequences for Misuse Subject to arrest, civil penalties of up to $500, or criminal penalties for altering or improper use
Governing Law Connecticut General Statute 53a-157

How to Use Connecticut A 62

Filling out the Connecticut A 62 form is a necessary step for individuals seeking a special permit to operate a motor vehicle to and from work under specific conditions. The form is detailed and requires careful attention to ensure all information is provided accurately to avoid delays or denial. Below are step-by-step instructions to assist you in completing the form properly.

  1. Start by writing your full name (last, first, middle) in the designated space.
  2. Enter your date of birth in the format MM/DD/YYYY next to your name.
  3. Provide your operator license number and the state it was issued in.
  4. Mark your sex by checking the appropriate box for Male (M) or Female (F).
  5. Fill in your mailing address, including the number and street, city or town, state, and zip code.
  6. If your residence address is different from your mailing address, provide that as well following the same format.
  7. Enter the full name of your employer. If self-employed, include your business name and attach legal proof of self-employment.
  8. Provide the address of your employer using the same format as for your addresses.
  9. Write down your occupation.
  10. Fill in your home telephone number, including the area code.
  11. Detail your days and hours of employment, specifying A.M. or P.M., and ensure your schedule does not exceed a continuous 12-hour period per day. Remember, each employment requires a separate application.
  12. Answer the questions about the distance and commuting time from your residence to your place of employment, the availability of public transportation, the hardships you would suffer without a Special Operator's Permit, and efforts made to obtain other transportation methods.
  13. Have your supervisor print their name, sign the form, and write their job title along with their work telephone number.
  14. Read the notice and oath carefully. By signing the form, you affirm that all the information provided is true and correct and that you understand the conditions and penalties associated with the Special Operator's Permit.
  15. The applicant must print their name, sign, and date the form in the designated areas.
  16. Finally, ensure a $100.00 non-refundable application fee in the form of a check or money order made payable to DMV accompanies your application.

After submitting the form along with the necessary fee and any additional required documentation, the Department of Motor Vehicles will review your driving record as part of the application process. The decision to approve or deny the permit will be based on the information provided as well as your driving history. Applicants will be informed of the decision and, if approved, will receive details regarding the validity of the permit. It’s important to follow all guidelines and accurately complete each section of the application to increase the chances of approval.

More About Connecticut A 62

  1. What is the purpose of the Connecticut A-62 form?

The Connecticut A-62 form is an application for a special permit that allows individuals whose driving privileges have been suspended to operate a motor vehicle to and from their place of work. This special permit is part of the Department of Motor Vehicles' effort to provide relief to those who have faced suspension but demonstrate a clear need to maintain employment, provided their driving does not endanger public safety.

  1. Who needs to fill out the A-62 form?

Individuals whose driver's licenses have been suspended in the State of Connecticut and require the use of a motor vehicle to commute to and from their workplace need to complete the A-62 form. This includes those who are self-employed but need to travel as part of their business activities.

  1. Is there a fee associated with the A-62 application?

Yes, there is a $100.00 non-refundable application fee for the A-62 form. The fee must be submitted in the form of a check or money order made payable to the DMV alongside the application.

  1. Can the A-62 permit be used for any type of vehicle operation?

No, the A-62 permit specifically prohibits the operation of motor vehicles that require a Commercial Driver’s License (CDL) or are used for Public Passenger Transportation. Its use is strictly limited to personal commuting between an individual's home and workplace.

  1. What information is required on the A-62 form?

The A-62 form requires comprehensive personal information, including the applicant's name, date of birth, operator license number, mail, and residential addresses. Employment information, including the employer's name, address, occupation, and detailed work schedule, must also be provided. Additionally, applicants must describe any significant hardships they would face without the permit and the efforts they have made to find alternative transportation.

  1. How does the Connecticut DMV evaluate A-62 applications?

The DMV reviews the applicant's official driving record, confirming employment, and evaluating the necessity of the special operator's permit based on the hardship described. Inability to confirm employment, lack of significant hardship, or evidence that public transportation could serve the applicant's commuting needs might result in the denial of the application.

  1. What are the consequences of misusing an A-62 permit?

Misuse or alteration of the A-62 permit, or operating a vehicle outside of the authorized hours and purposes, will result in criminal penalties, a civil penalty of up to $500, or double the penalties imposed by law. This strict enforcement ensures that the special permit is used responsibly and within the parameters set by the DMV.

  1. What happens if my driver's license gets suspended again while holding an A-62 permit?

If an individual's license is suspended for another reason while they possess the A-62 permit, the permit is immediately revoked. Continuing to operate a motor vehicle thereafter subjects the individual to more severe penalties, in accordance with the law. This clause underscores the permit's conditional nature, contingent on maintaining eligibility criteria.

  1. Can an application for the A-62 permit be denied, and will I be informed of the reason?

Yes, an A-62 permit application can be denied for reasons such as a lack of significant hardship, ineligibility based on the applicant’s driving history, or the availability of public transportation alternatives. The DMV will provide the specific reasons for any denial, as stated on the reviewed application, to ensure transparency in the decision-making process.

Common mistakes

Filling out the Connecticut A-62 form, which is an application for a special permit to operate a motor vehicle to and from work, requires attention to detail and accurate information. However, applicants often make certain common mistakes that can lead to the denial of their application. Understanding these errors can help ensure a smoother application process.

One frequent mistake is not printing or typing clearly. The form instructs applicants to do so, as unclear handwriting can lead to misunderstandings or incorrect data entry by the Department of Motor Vehicles (DMV). Such errors might delay the processing of the application or even contribute to its denial due to misinformation.

Another common issue is the failure to include the non-refundable application fee. Each application must be accompanied by a check or money order for $100.00, payable to the DMV. Applicants sometimes overlook this step, which is crucial for the application to be considered complete and processed further.

Applicants also tend to neglect the rule regarding multiple employments, which requires separate applications for each place of work. This is particularly relevant for individuals with more than one job, as their schedule needs to be clearly identified and not exceed a continuous 12-hour period per day for each employment situation.

The necessity of having the employment verification section completed by the employer can also be a stumbling block. This part of the application includes the signature and printed name of the supervisor, as well as their job title and work telephone number. Some applicants submit their form without this crucial information, leading to delays or denials due to the inability of the DMV to confirm their employment status.

Lastly, a common error is not accurately describing the hardship that would be faced without the Special Operator's Permit. The application asks what significant hardships the applicant will suffer without the permit and what efforts have been made to obtain other forms of transportation. General or vague responses might not satisfy the requirements for demonstrating a significant need for the permit.

  1. Print or type clearly to avoid misunderstandings.
  2. Include the non-refundable application fee with your submission.
  3. Submit separate applications if you have multiple places of employment.
  4. Ensure your employer completes the employment verification section.
  5. Clearly describe the hardship faced without the permit and efforts made to seek alternative transportation solutions.

By addressing these common mistakes, applicants can improve the accuracy and completeness of their application, potentially increasing their chances of obtaining a special permit to drive to and from work.

Documents used along the form

When navigating through the bureaucratic processes related to driving and employment in Connecticut, especially in situations requiring a special permit to operate a motor vehicle to and from work, as detailed on the Connecticut A-62 form, individuals often need additional forms and documents. These may range from proof of employment to further legal documents, each serving its unique purpose in ensuring that all the requirements are met and the applicant's circumstances are thoroughly documented.

  • Proof of Employment: This document verifies an individual's employment status and is critical for applicants who need to justify the necessity for a Special Operator's Permit. It typically includes the employer's name, address, and the employee's role, hours of work, and employment period.
  • Proof of Residence: A document confirming the applicant's residential address. Acceptable documents can include utility bills, a lease agreement, or other official correspondence that shows the applicant's name and current address.
  • Driver's License: A copy of the applicant's current driver's license from Connecticut or any other state, showing the license number, issuing state, and expiry date, proving that the applicant holds a valid license.
  • Driving Record: An official driving record from the Department of Motor Vehicles (DMV) may be required to review the applicant's driving history as part of the application process.
  • Document of Insurance: Proof of auto insurance is often necessary to confirm that the applicant's vehicle is insured, showcasing the insurance company name, policy number, and the validity period of the policy.
  • Medical Certificate: In some cases, a medical certificate may be requested to ensure that the applicant is fit to drive, particularly if medical conditions have been a concern or were mentioned in the application.
  • Vehicle Registration: A current vehicle registration document is required to prove that the vehicle intended for use is legally registered in the applicant's name or a family member's name.
  • Application Fee: A copy of the receipt or document showing that the $100.00 non-refundable application fee has been paid, as specified in the A-62 form instructions.

These documents complement the Connecticut A-62 form by providing a holistic view of the applicant’s situation, from legal compliance to the practical details of their work commute needs. Together, they facilitate the process for both the applicant and the authorities to ensure that all considerations are addressed transparently and effectively.

Similar forms

The Connecticut A-62 form, entitled "Application for Special Permit to Operate a Motor Vehicle To and From Work," is notably similar to various other forms used throughout the United States for granting special driving privileges under specific circumstances. One such document is the Occupational Limited License (OLL) application used in some states. This similarity lies in the form's purpose: both are designed to provide individuals, whose regular driving privileges have been suspended or restricted, with a legal way to drive to their place of employment. However, while the Connecticut A-62 form strictly limits the use to commuting for work purposes, an OLL might offer a broader range of driving privileges, including driving to medical appointments or attending court-ordered treatment. Moreover, both forms typically require detailed information about the applicant's employment, driving record review, and, importantly, a non-refundable application fee.

Another document closely related to the A-62 form is the Hardship Driver License application available in some jurisdictions. This form, like the A-62, is intended for individuals facing significant difficulty due to the loss of their driving privileges. The scope of hardship considered often encompasses more than just employment, potentially including medical, educational, or court-ordered obligations. Despite these wider application reasons, both forms share the commonality of requiring proof of the hardship, detailed personal and employment information, and an understanding that the permit or license granted will be under strict conditions and subject to immediate revocation if terms are violated. Unlike the Connecticut specific A-62 form, Hardship Licenses vary more broadly in terms of eligibility, required documentation, and the extent of driving privileges granted.

Dos and Don'ts

When applying for a Special Permit to operate a motor vehicle to and from work in Connecticut, known as the A-62 form, there are specific dos and don'ts that can significantly impact the success of your application. Here’s a guide to help you navigate the process effectively:

  • Do print or type your information clearly to ensure legibility.
  • Do provide a separate application for each place of employment if you have multiple jobs.
  • Do include the $100.00 non-refundable application fee in the form of a check or money order payable to DMV.
  • Do clearly identify your schedule, making sure it does not exceed a continuous 12-hour period per day.
  • Do provide detailed information about the distance and commuting time from your residence to your place of employment.
  • Don't leave out information about public transportation availability from your residence to your place of employment if applicable.
  • Don't forget to include detailed information on the significant hardship(s) you will suffer without the Special Operator's Permit.
  • Don't overlook the necessity to have your supervisor sign and provide their contact information to confirm your employment, as failing to confirm employment can lead to denial of your permit.

Adhering to these guidelines will not only streamline the process but also enhance the likelihood of your application being approved. Remember, the Connecticut Department of Motor Vehicles takes these applications seriously, and ensuring the accuracy and completeness of your submission is crucial. Operating a vehicle under a special permit comes with responsibilities and specific limitations, so make sure you fully understand the conditions before applying.

Misconceptions

There are several misconceptions regarding the Connecticut A-62 Form, a special permit application for operating a motor vehicle to and from work during a license suspension period. Clarifying these misconceptions can help applicants better understand the process and improve their chances of approval.

  • Misconception 1: The A-62 form is applicable for any suspension reason.

    Many believe that the A-62 form applies to all types of driver's license suspensions. However, this special permit is reserved for specific cases and may not be available to individuals suspended for certain infractions, such as driving under the influence (DUI) or other major violations. The Department of Motor Vehicles (DMV) assesses each application individually and determines eligibility based on the reason for suspension and the applicant's overall driving record.

  • Misconception 2: Approval is guaranteed if you have a job.

    Simply having employment is not enough to guarantee the approval of an A-62 application. Applicants must demonstrate that not having a permit would cause significant hardship, such as an inability to get to work because alternative transportation is unavailable or impractical. Additionally, the DMV reviews the applicant's driving record and the specific details surrounding the suspension.

  • Misconception 3: The permit allows for unlimited driving.

    Some applicants mistakenly believe that once granted, the A-62 permit allows them to drive without restrictions. In reality, this permit strictly limits driving to pre-approved routes and times, specifically for commuting to and from work. Any unauthorized use of the vehicle outside these restrictions can lead to arrest, additional penalties, or revocation of the permit.

  • Misconception 4: You can reapply immediately if denied.

    After denial, there is a common misconception that applicants can quickly reapply for the A-62 permit. However, reapplication is not immediately possible and is typically subject to restrictions based on the reason for the initial denial. It's crucial to understand the denial's cause, address any issues, and wait for any mandatory period to lapse before reapplying.

  • Misconception 5: The application fee is refundable if not approved.

    There is a notion that the application fee for the A-62 form is refundable if the application is not approved. This is incorrect. The $100.00 application fee is non-refundable, regardless of the application's outcome. Applicants should consider this when applying and ensure they meet all the eligibility criteria to the best of their ability before submitting their application.

Understanding these misconceptions can help applicants approach the A-62 form with a clearer perspective and realistic expectations. For more detailed information or specific questions, it's always best to contact the Connecticut DMV directly or consult their official website.

Key takeaways

When navigating the complexities of the Connecticut A-62 form, designed for individuals seeking a special permit to drive to and from work, it’s important to approach the process with attention and care. Here are seven key takeaways to guide applicants through filling out and utilizing this form effectively:

  • Complete the form precisely: Applicants must either print or type their information clearly. This accuracy ensures that the Department of Motor Vehicles (DMV) can process the application without unnecessary delays caused by illegible handwriting or typographical errors.
  • Application fee: A $100.00 non-refundable application fee is required with each application. This fee must be in the form of a check or money order made payable to DMV, highlighting the need for preparedness in meeting the financial requirement.
  • Separate applications for multiple employments: Individuals working at more than one place of employment must fill out a separate application for each job. This ensures that the details of each employment situation are properly documented and assessed.
  • Prohibited vehicle operation: The special permit program does not cover the operation of vehicles requiring a Commercial Driver's License (CDL) or those used for public passenger transportation. Applicants must be aware of these restrictions to avoid potential legal issues.
  • Employment schedule clarity: The application requires a clear outline of the applicant's work schedule, which must not exceed a 12-hour continuous period per day. Providing precise details about days and hours of employment is crucial for the permit's approval.
  • Proof of hardship and effort to find alternative transportation: Applicants must detail the significant hardships they would face without a special operator's permit and describe their efforts to secure other forms of transportation. This information is vital for validating the need for a special permit.
  • Importance of honesty and accuracy: The oath at the end of the application emphasizes the importance of honesty. Making a false statement can lead to penalties for perjury. Applicants must ensure that all the information provided is true and correct to the best of their knowledge.

Understanding these key points can significantly impact the success of an applicant's request for a special permit to operate a motor vehicle to and from work in Connecticut. It's not just about completing a form but doing so in a way that meets all the specified requirements, thus enhancing the likelihood of obtaining the needed permission.

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